Lytec 2014 is the only version that includes fields, programming, and report forms necessary to produce the new 02/12 CMS 1500 Claim form.

Timeline

The NUCC (National Uniform Claim Committee) has approved a transition timeline for the version 02/12 CMS-1500 Claim Form. In June, the NUCC announced the approval of the updated 1500 Claim Form that accommodates reporting needs for ICD-10 and aligns with requirements in the Accredited Standards Committee X12 (ASC X12) Health Care Claim: Professional (837P) Version 5010 Technical Report Type 3.

The NUCC approved the following transition timeline at its in-person meeting in Chicago on August 1, 2013.

Changes to the 02/12 1500 form and where the data will pull from in Lytec 2014:

To accommodate the changes to the 02/12 CMS-1500 claim form, new fields have been added to the Billing Options – Billing Information tab. Use these fields for entering specific detail in boxes 8 and 9. These fields apply only to the 02/12 CMS-1500 Claim form.

Please note that only Lytec 2014 SP1 contains the 02/12 forms programmed with new requirements released by Medicare. Since these requirements did not come out until after Lytec 2014 had already been released any users that bill Medicare on paper will need to ensure that they are on Lytec 2014 SP1. Any notes in this article that mention how the box will be filled out for Medicare claims are only effective if the user is on Lytec 2014 SP1.

Form Changes:

This article only includes instructions for boxes on the 02/12 form that have changed from the 08/05 version. In the images below the 08/05 form is depicted in black and the new 02/12 form is in red. Where there was no visual change to the box only the description of the change is included.

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Box 1 Insurance Type: Champus has been removed and changed to Tricare.

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Box 2 Patient’s Name: The NUCC suggests not printing the patient’s name when the patient is the subscriber. However, the patient’s name will continue to print on the form.

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Box 4 Insured Name: If the Insurance Type of the destination payer is worker’s compensation, the patient employer name will print. Lytec will print the value in the Specify Other Employer screen first. If that is blank, it will print the value in the Employer field.

When Medicare is the secondary insurance: If the primary insurance subscriber name is different than the patient’s name, Lytec will print the primary subscriber’s name. If the primary and secondary subscriber name is the same, Lytec will print SAME.

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Box 5 Patient’s Address: The phone number no longer prints based on the NUCC’s suggestion.

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Box 7 Insured Address: If the Insurance Type of the destination payer is worker’s compensation, the patient employer address will print. Lytec will print the value in the Specify Other Employer screen first. If that is blank, it will print the value in the Employer field.

When Medicare is the secondary insurance: If the primary insurance subscriber address is different than the patient’s address, Lytec will print the primary subscriber’s address. If the primary and secondary subscriber address is the same, Lytec will print SAME.

Box 9 Other Insured’s Name: When the primary insurance type is Medicare and secondary insurance is Medicaid, Lytec will leave this box blank. Otherwise, the current rules apply.

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Box 9a Other Insured’s Policy: When the primary insurance type is Medicare and the secondary insurance is Medicaid, Lytec will leave this box blank. Otherwise, the current rules apply.

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Box 9b Reserved for NUCC use: (Was Date of Birth and Sex) This box shows the value entered for this box on the Billing Options – Billing Information tab. (New field in Lytec 2014 only)

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Box 9c Reserved for NUCC use: (Was Employer or School Name) When the primary insurance type is Medicare and the secondary insurance is Medicaid, Lytec will leave this box blank. Otherwise, this box shows the value entered for this box on the Billing Options – Billing Information tab. (New field in Lytec 2014 only)

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Box 9d Insurance Name: When the primary insurance type is Medicare and the secondary insurance is Medicaid, Lytec will leave the box blank. Otherwise, the current rules apply.

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Box 10d Claim Codes (Designated by NUCC): (Was reserved for local use) If the primary insurance type is Medicare and the secondary insurance type is Medicaid, Lytec will print MCD preceded by the Medicaid policy number. Otherwise, this box will print multiple condition codes separated by a space. This information reflects information from the More Billing Information -More Information 1 Tab.

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Box 11 Insured’s Policy Group or FECA number: If the primary insurance type is Medicare, Lytec will print NONE.

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Box 11b Other Claim ID (designated by NUCC): (Was Employer Name) This box will print the value in the claim number field, preceded by a Y4 qualifier. The Claim Number field is found on the Billing Options -insurance tab.

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Box 14 Date Current Illness Injury or LMP: In addition to the date, there is a new Qualifier Code:

If the insurance is Medicare (primary, secondary, and so on), Lytec will not print a qualifier in the qualifier part in box 14.

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Box 15 Other Date: In addition to the date (selected based on which date field is completed in the order below), there is a new Qualifier Code:

If more than one of these is selected, Lytec will print the first one in the order listed above.

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Box 17 Referring Provider: This box can be used for various physician types. There are new qualifiers indicating the physician’s type:

Only one can be used. If more than one exists on the billing, the system will use the following order: 1. referring, 2. ordering, 3. supervising.

If both supervising and referring exist on the claim, Lytec will print the referring provider.

If the Send Ordering Provider in Loop 2420E check box on the destination payer’s Insurance record is selected and there is a referring physician, Lytec will print DK (Ordering Provider) instead of DN.

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Box 17a Other ID: This box shows the ID of the provider from Box 17.

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Box 17B NPI Number: This box shows the NPI number of the provider from Box 17.

Box 21 Diagnosis Codes: Diagnosis codes 5-12 (indicated as E-L) have been added. Diagnosis codes are listed in order from left to right on three lines with four codes per line. In addition, there is an ICD Code Set Indicator:

If the EPSDT box in Patients – More Information 1 tab is selected and there is NO value in the EPSDT Conditional Code 1 field in the EPSDT/CRC section of the Bill Options – Billing More Information 2 tab, Lytec will print a Y.

If the EPSDT box is selected and there IS a value in the Conditional Code 1 field, Lytec will print the Code in Conditional Code 1. Y or the code will print on all lines that have a CPT code.

Print N if the EPSDT box in Patients – More Information 1 is selected and 1) there is no value in the EPSDT Conditional Code 1 field in the EPSDT/CRC section of the Bill Options – Billing More Information 2 tab, and 2) there is an N in the first character of the Referral items field on the Bill Options – More Billing Information 2 tab.

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Box 24 Transaction Description: Shaded area: If an NDC code is used, N4 will be printed and then the transaction NDC Code, a single space, followed by the NDC Unit of Measurement and NDC Unit Count. If you have entered text in the description field for a transaction, Lytec will print ZZ followed by the transaction description. If both are used, Lytec will print the NDC information first.

DISCLAIMER: Although AZCOMP Technologies, Inc. makes every effort to ensure that information regarding billing guidelines are checked and accurate in both our documentation and training, it should be understood that our expertise is in the software itself and not in billing practices. Therefore, it is the sole responsibility of the user to study, interpret and remain abreast of billing requirements and deadlines, contacting authoritative sources directly as needed. Any claims documentation and training provided by AZCOMP Technologies, Inc. is based on our interpretation of the rules published by nucc.org and cms.gov and are subject to change. Information and training provided is “as is” and without any express or implied warranties. AZCOMP Technologies, Inc. assumes no responsibility for any inaccuracies, errors, or omissions, expressly disclaiming liability for damages of any kind arising out of the use of, reference to or reliance on any content provided.

Michael S. Barnett, MD.

“Jay Zorro went above and beyond the call of duty. Not only did he fix a chronic computer problem, but he continues to assist with future anti virus control. He took a dedicated effort to my problem, thought about it and fixed it. I am very pleased. He is an excellent employee.”

- Michael S. Barnett, MD.

AZCOMP Technologies

2015-05-21T09:33:40+00:00

- Michael S. Barnett, MD.

“Jay Zorro went above and beyond the call of duty. Not only did he fix a chronic computer problem, but he continues to assist with future anti virus control. He took a dedicated effort to my problem, thought about it and fixed it. I am very pleased. He is an excellent employee.”

http://www.azcomp.com/blog/testimonials/michael-s-barnett-md/

Kennetha, Dr. Mira Zelin.

“First of all I was especially appreciative of the fact that I was able to speak to a “person” each time I called, even if someone had to call me back. Sales and Tech support were very friendly and professional and knowledgeable. I was and knew exactly what to do. I was very satisfied. Thanks.”

- Kennetha, Dr. Mira Zelin.

AZCOMP Technologies

2015-05-21T09:35:34+00:00

- Kennetha, Dr. Mira Zelin.

“First of all I was especially appreciative of the fact that I was able to speak to a “person” each time I called, even if someone had to call me back. Sales and Tech support were very friendly and professional and knowledgeable. I was and knew exactly what to do. I was very satisfied. Thanks.”

http://www.azcomp.com/blog/testimonials/kennetha-dr-mira-zelin/

Christine, Pros Medical Service.

“All the people I have dealt with at AZCOMP have been helpful and professional. Would give all an A++”

- Christine, Pros Medical Service.

AZCOMP Technologies

2015-05-21T09:38:37+00:00

- Christine, Pros Medical Service.

“All the people I have dealt with at AZCOMP have been helpful and professional. Would give all an A++”

Michael, Michael S. Barnett MD.

“Adjusting to the tech world for an old geezer like me was quite and emotional challenge. My hand was held the entire way by the supportive staff at AZCOMP. There were plenty of struggles and lots of stops and starts, be we did it. I find it hard to imagine going back to non-electronic records. Through every struggle it was easy to get the help I needed. Things work well now, and I cannot thank the staff enough for their support.”

- Michael S. Barnett MD.

AZCOMP Technologies

2015-05-21T10:10:07+00:00

- Michael S. Barnett MD.

"Adjusting to the tech world for an old geezer like me was quite and emotional challenge. My hand was held the entire way by the supportive staff at AZCOMP."

http://www.azcomp.com/blog/testimonials/michael-michael-s-barnett-md/

Joleen, Office manager for Family Chiropractic Optimal Health and Nutritin.

“Paul made my whole day! I can’t write down exactly what I told him in excitement of fixing our datapath, etc. but in so many words he was my hero! I was so excited as we had not been able to send claims for approximately two weeks. Paul was very helpful and it would be my pleasure to have him assist us again if needed. He knows his stuff!”

“Paul made my whole day! I can’t write down exactly what I told him in excitement of fixing our datapath, etc. but in so many words he was my hero! I was so excited as we had not been able to send claims for approximately two weeks. Paul was very helpful and it would be my pleasure to have him assist us again if needed. He knows his stuff!”

Casey, All Around Accounting.

“Thank you so much for your help today. I really appreciate how quickly we were able to get my new helpful report added and working. This was the best Christmas present ever! Thank you so much. I believe you just made my job, with the way that I do it, much much more efficient.”

- Casey, All Around Accounting.

AZCOMP Technologies

2015-05-21T10:14:18+00:00

- Casey, All Around Accounting.

“Thank you so much for your help today. I really appreciate how quickly we were able to get my new helpful report added and working. This was the best Christmas present ever! Thank you so much. I believe you just made my job, with the way that I do it, much much more efficient.”

http://www.azcomp.com/blog/testimonials/casey-all-around-accounting/

Judy, Douglas Bailes

“AZCOMP has always been very supportive, even if they don’t have the answer right at the time of the call (which isn’t very often). I like the honesty when they say they are not sure, but will check with other support tech’s and get back with me. One person doesn’t know all of the answers so this shows that you have good team work within your office staff. The results then can overflow onto your customers. Thank you for all that you do.”

- Judy, Douglas Bailes

AZCOMP Technologies

2015-05-21T10:15:43+00:00

- Judy, Douglas Bailes

“AZCOMP has always been very supportive, even if they don’t have the answer right at the time of the call (which isn’t very often). I like the honesty when they say they are not sure, but will check with other support tech’s and get back with me. One person doesn’t know all of the answers so this shows that you have good team work within your office staff. The results then can overflow onto your customers. Thank you for all that you do.”

http://www.azcomp.com/blog/testimonials/judy-douglas-bailes/

Carolyn, Blackstone Physical Therapy

“You guys are awesome!! I think you help me even when you don’t have to!! THANK YOU!!”

- Carolyn, Blackstone Physical Therapy

AZCOMP Technologies

2015-05-21T10:16:10+00:00

- Carolyn, Blackstone Physical Therapy

“You guys are awesome!! I think you help me even when you don’t have to!! THANK YOU!!”

Stephanie, Healthcare Billing Solutions

“Ever since I started with this company I feel so much better than any previous company I had in the past. This company has helped us in all we need and has done a fantastic job. Thank you very much, also the staff are wonderful!”

- Stephanie, Healthcare Billing Solutions

AZCOMP Technologies

2015-05-21T10:17:50+00:00

- Stephanie, Healthcare Billing Solutions

“Ever since I started with this company I feel so much better than any previous company I had in the past. This company has helped us in all we need and has done a fantastic job. Thank you very much, also the staff are wonderful!”

Tawnya Strum

“Five Star service!!! Our practice became an AZCOMP Customer in early 2013 and we were immediately wowed at the outstanding level of customer service we received. From the moment we called we felt important and very well taken care of. The sales team took excellent care of us and the technical support team has done a fabulous job every time we have needed them! The training sessions are informative and helpful and the staff are always willing to go the extra mile to make sure we understand changes and updates to the system. Thank you to the entire team - we appreciate your excellent service!!! :) Pain Specialists of Orange County”

- Tawnya Strum

AZCOMP Technologies

2015-05-21T10:21:42+00:00

- Tawnya Strum

“Five Star service!!! Our practice became an AZCOMP Customer in early 2013 and we were immediately wowed at the outstanding level of customer service we received. From the moment we called we felt important and very well taken care of. The sales team took excellent care of us and the technical support team has done a fabulous job every time we have needed them! The training sessions are informative and helpful and the staff are always willing to go the extra mile to make sure we understand changes and updates to the system. Thank you to the entire team - we appreciate your excellent service!!! :) Pain Specialists of Orange County”

http://www.azcomp.com/blog/testimonials/tawnya-strum/

Pauline Hastings

“Couldn't be any better unless we got cookies. Service is at least a 5 star or more. Sad to say we left AZCOMP for a short time but now we are back to stay. Once you have the best nothing else compares. The support team is out of this world. Don't know what we would have done without Paul, Robbie, Shelly and Maggie just to name a few. We never have to wait for a call back with any type of issue we may be having. Love these guys.
AZCOMP you are the best and we thank you.”

- Pauline Hastings

AZCOMP Technologies

2015-05-21T10:22:40+00:00

- Pauline Hastings

“Couldn't be any better unless we got cookies. Service is at least a 5 star or more. Sad to say we left AZCOMP for a short time but now we are back to stay. Once you have the best nothing else compares. The support team is out of this world. Don't know what we would have done without Paul, Robbie, Shelly and Maggie just to name a few. We never have to wait for a call back with any type of issue we may be having. Love these guys. AZCOMP you are the best and we thank you.”

http://www.azcomp.com/blog/testimonials/pauline-hastings/

Dan Logan D.C. Logan Chiropractic

“I would like to thank everyone at AZCOMP. I just recently started working with this great company. The quality of there products are great. However, it is there customer service that sets them apart. From top to bottom, whether it be the sales team or the technical support team, the service and attention to detail is first rate! Thank you to everyone I have had the pleasure to speak with. Thank you for the excellent service! ”

- Dan Logan D.C. Logan Chiropractic

AZCOMP Technologies

2015-05-21T10:24:08+00:00

- Dan Logan D.C. Logan Chiropractic

“I would like to thank everyone at AZCOMP. I just recently started working with this great company. The quality of there products are great. However, it is there customer service that sets them apart. From top to bottom, whether it be the sales team or the technical support team, the service and attention to detail is first rate! Thank you to everyone I have had the pleasure to speak with. Thank you for the excellent service! ”

Carolyn Dixon Collins

“Azcomp Technical support is phenomenal!!!! They have helped me so much!!!!! I would definitely recommend them!! Thank you Azcomp!!! Keep up the good work!!!”

- Carolyn Dixon Collins

AZCOMP Technologies

2015-05-21T10:25:03+00:00

- Carolyn Dixon Collins

“Azcomp Technical support is phenomenal!!!! They have helped me so much!!!!! I would definitely recommend them!! Thank you Azcomp!!! Keep up the good work!!!”

http://www.azcomp.com/blog/testimonials/carolyn-dixon-collins/

Sabrina Leal

“I love AZComp! No matter who you speak with, the staff is friendly and they will work with you until the job is done! I am still learning all the ins and out of Medisoft, but what ican not figure out or if I run into trouble - AZComp is there! They respond in a timely manner as soon as I send them a support ticket request, and they diligently work with me to find a good time for me talk to them. Every tech there I have spoken to has been very knowledgeable with great customer service! Keep up the good work!
Pro-Care Medical Center”

- Sabrina Leal

AZCOMP Technologies

2015-05-21T10:26:02+00:00

- Sabrina Leal

“I love AZComp! No matter who you speak with, the staff is friendly and they will work with you until the job is done! I am still learning all the ins and out of Medisoft, but what ican not figure out or if I run into trouble - AZComp is there! They respond in a timely manner as soon as I send them a support ticket request, and they diligently work with me to find a good time for me talk to them. Every tech there I have spoken to has been very knowledgeable with great customer service! Keep up the good work! Pro-Care Medical Center”

http://www.azcomp.com/blog/testimonials/sabrina-leal/

Sharon Barnett

“With all of the ICD-9 to ICD-10 regulatory and coding changes coming our way, AZComp has been there every step of the way. It is easy to set up a ticket and response time is phenomenal. Each and every tech we've spoken to to resolve issues with our software or billing has been knowledgeable and helpful. They've made a scary process not so difficult after all. Thank you!!”

- Sharon Barnett

AZCOMP Technologies

2015-05-21T10:26:43+00:00

- Sharon Barnett

“With all of the ICD-9 to ICD-10 regulatory and coding changes coming our way, AZComp has been there every step of the way. It is easy to set up a ticket and response time is phenomenal. Each and every tech we've spoken to to resolve issues with our software or billing has been knowledgeable and helpful. They've made a scary process not so difficult after all. Thank you!!”

http://www.azcomp.com/blog/testimonials/sharon-barnett/

Cody Steinhoff

“Our recent experience with AZCOMP, as a new client, was outstanding. We called looking for immediate technical help as a Medisoft Value Added Reseller. Within an hour, we had a return call from technical support and a very personable and knowledgeable support technician. All employees involved were very easy to deal with and, gratefully, very eager to help us out. We would very highly recommend AZCOMP.”

- Cody Steinhoff

AZCOMP Technologies

2015-05-21T10:28:13+00:00

- Cody Steinhoff

“Our recent experience with AZCOMP, as a new client, was outstanding. We called looking for immediate technical help as a Medisoft Value Added Reseller. Within an hour, we had a return call from technical support and a very personable and knowledgeable support technician. All employees involved were very easy to deal with and, gratefully, very eager to help us out. We would very highly recommend AZCOMP.”

http://www.azcomp.com/blog/testimonials/cody-steinhoff/

Deborah Holden

“I had my server removed from our office as well and my backup. Kevin and all the support people went over and beyond to get me up and running again very quickly. All the service team was very supportive and I even received e-mails and follow up calls just to make sure that all was working well. They felt my pain that I was going through and help me through a very tough time. I have worked with other companies in the past and you could tell it was just a job. With this company it is more personalized and they truly enjoy what they do and enjoy ensuring that all your needs as a customer are met. Again thanks team for a job well done. I had thought friendly customer service was something from the past but they have restored my faith in customer service and customer support. I would encourage anyone needing tech support that this is the only place that I will even go again. May God richly bless each and every team member there. Thank you so much”

- Deborah Holden

AZCOMP Technologies

2015-05-21T10:28:58+00:00

- Deborah Holden

“I had my server removed from our office as well and my backup. Kevin and all the support people went over and beyond to get me up and running again very quickly. All the service team was very supportive and I even received e-mails and follow up calls just to make sure that all was working well. They felt my pain that I was going through and help me through a very tough time. I have worked with other companies in the past and you could tell it was just a job. With this company it is more personalized and they truly enjoy what they do and enjoy ensuring that all your needs as a customer are met. Again thanks team for a job well done. I had thought friendly customer service was something from the past but they have restored my faith in customer service and customer support. I would encourage anyone needing tech support that this is the only place that I will even go again. May God richly bless each and every team member there. Thank you so much”

http://www.azcomp.com/blog/testimonials/deborah-holden/

Kristl Harbour

“From the very first phone call that I made to AZCOMP it has been nothing but a pleasant experience!! Every time I call, with ANY question, (which some have been pretty dumb ;) ) they have always helped me right away and helped me get through my problem. I will never use any other software company but AZCOMP!”

- Kristl Harbour

AZCOMP Technologies

2015-05-21T10:29:53+00:00

- Kristl Harbour

“From the very first phone call that I made to AZCOMP it has been nothing but a pleasant experience!! Every time I call, with ANY question, (which some have been pretty dumb ;) ) they have always helped me right away and helped me get through my problem. I will never use any other software company but AZCOMP!”

http://www.azcomp.com/blog/testimonials/kristl-harbour/

Raven Wood

“I can't thank the AZ COMP crew enough. I think I have, over the past almost 4 years, bothered them almost once a week. They are truly phenomenal !! Experts in the field-- get us up and running all the time--on time. We are a busy office practice and when computers/ software don't function properly can shut you down-- but the team at AZ COMP is always there and the problem is resolved in no time. From training us to keeping us "on schedule" as to updates and fixes we couldn't ask for more. Besides, they all have a great personality and sense of humor...I love working with a group of happy professionals and recommend them every chance I get.”

- Raven Wood

AZCOMP Technologies

2015-05-21T10:30:51+00:00

- Raven Wood

“I can't thank the AZ COMP crew enough. I think I have, over the past almost 4 years, bothered them almost once a week. They are truly phenomenal !! Experts in the field-- get us up and running all the time--on time. We are a busy office practice and when computers/ software don't function properly can shut you down-- but the team at AZ COMP is always there and the problem is resolved in no time. From training us to keeping us "on schedule" as to updates and fixes we couldn't ask for more. Besides, they all have a great personality and sense of humor...I love working with a group of happy professionals and recommend them every chance I get.”

http://www.azcomp.com/blog/testimonials/raven-wood/

Devon Melba Forbes

“AZCOMP Technologies is just phenomenal. I am so pleased with my recent purchase. I was able to speak to Shaun, who is just awesome, and he was as always, super informative. I was able to get quotes and information regarding what system would be best for the company. The tech support is awesome. Tech support goes above and beyond to assist you with any issue you may have. Mike and Russ are great and always patient, considerate, and most of all very kind and courteous. Keep up the great work! You have a customer for life!”

- Devon Melba Forbe

AZCOMP Technologies

2015-05-21T10:31:15+00:00

- Devon Melba Forbe

“AZCOMP Technologies is just phenomenal. I am so pleased with my recent purchase. I was able to speak to Shaun, who is just awesome, and he was as always, super informative. I was able to get quotes and information regarding what system would be best for the company. The tech support is awesome. Tech support goes above and beyond to assist you with any issue you may have. Mike and Russ are great and always patient, considerate, and most of all very kind and courteous. Keep up the great work! You have a customer for life!”

http://www.azcomp.com/blog/testimonials/devon-melba-forbes/

Tammy Parks

“AZCOMP really does a great job with our practice in all areas of support and training. They're always there to get you back on track when "things" don't run as smooth as you'd like. Thanks AZCOMP for all you do!”

- Tammy Parks

AZCOMP Technologies

2015-05-21T10:32:04+00:00

- Tammy Parks

“AZCOMP really does a great job with our practice in all areas of support and training. They're always there to get you back on track when "things" don't run as smooth as you'd like. Thanks AZCOMP for all you do!”

http://www.azcomp.com/blog/testimonials/tammy-parks/

Mo Soulati

“My experience with AZCOMP has extraordinary. I have the ability to either log in and create a ticket explaining my issue or sending an email to their support team. Instantly I get a email back a ticket number that they are looking into my issue. Without any delays I either get a call back or an email on how to resolve my issue. They represeantives are very kind and help resolve the issue as simple as possible. I have had great experiences with AZCOMP and would recommend them to anyone. Using electronic medical records has been really to use and understand with their help.”

- Mo Soulati

AZCOMP Technologies

2015-05-21T10:32:40+00:00

- Mo Soulati

“My experience with AZCOMP has extraordinary. I have the ability to either log in and create a ticket explaining my issue or sending an email to their support team. Instantly I get a email back a ticket number that they are looking into my issue. Without any delays I either get a call back or an email on how to resolve my issue. They represeantives are very kind and help resolve the issue as simple as possible. I have had great experiences with AZCOMP and would recommend them to anyone. Using electronic medical records has been really to use and understand with their help.”